McGrath D, Beattie T F
Accident and Emergency Department, Royal Hospital for Sick Children, Edinburgh, Scotland, United Kingdom.
J Accid Emerg Med. 1996 Sep;13(5):354-5. doi: 10.1136/emj.13.5.354.
To determine the incidence and severity of injuries sustained by children who present to an accident and emergency (A&E) department following rollerblading accidents.
A prospective case-control study.
The A&E department of a city centre paediatric teaching hospital.
Data were collected on a specially designed proforma on each child presenting with an injury sustained while rollerblading. The injury severity score was calculated for each patient and details were taken of the length of admission or outpatient follow up where appropriate.
Seventy four children (37 male; 37 female) presented with injuries over a three month period. The age range was 6-13 years in both groups. Half the injuries occurred at weekends. Fractures (n = 37) and soft tissue injuries (n = 28) were the most prevalent; 89% of injuries involved the limbs. Sixty eight children (92%) required treatment in A&E. Four (3%) were admitted to hospital and required operative procedures under general anaesthetic. The injury severity score ranged from 1 to 9 with a mean of 2.8. The length of hospital stay for admissions was 1-3 days; 47 children required follow up in the outpatient department (1-3 visits). Average length of outpatient contact was 18 days.
This study shows a greater incidence of rollerblading injuries than has been reported elsewhere. No figures are at present available for the United Kingdom as a whole.
确定在轮滑事故后前往急诊部就诊的儿童所受损伤的发生率及严重程度。
一项前瞻性病例对照研究。
市中心一家儿科教学医院的急诊部。
在专门设计的表格上收集每个因轮滑受伤前来就诊儿童的数据。计算每位患者的损伤严重程度评分，并记录适当情况下的住院时间或门诊随访详情。
在三个月期间，74名儿童（37名男性；37名女性）因伤前来就诊。两组的年龄范围均为6至13岁。半数损伤发生在周末。骨折（n = 37）和软组织损伤（n = 28）最为常见；89%的损伤累及四肢。68名儿童（92%）在急诊部接受治疗。4名（3%）儿童入院并需要在全身麻醉下进行手术。损伤严重程度评分范围为1至9分，平均为2.8分。住院患者的住院时间为1至3天；47名儿童需要在门诊部随访（1至3次就诊）。门诊平均接触时间为18天。
本研究显示轮滑损伤的发生率高于其他地方所报告的情况。目前尚无关于整个英国的相关数据。
